Joints, synovial fluid and cartilage Flashcards

1
Q

what are the different types of joint ?

A

fibrous - periodontal, sutures, interosseous
cartilaginous - primary (hyaline), secondary (hyaline + fibrocartilage)
synovial - plane, hinge, pivot, ellipsoid, saddle, ball and socket

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2
Q

what contributes to joint stability ?

A

shape of articulations surfaces
capsule and ligaments
muscles

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3
Q

what are features of articular (hyaline) cartilage ?

A

superficial layer - flattened chondrocytes that produce collagen + glycoproteins
transitional layer - round chondrocytes that produce proteoglycans
>75% water

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4
Q

what are glycoproteins ?

A

proteins with oligosaccharide chains attached, protein>carb

lubricant

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5
Q

what are proteoglycans ?

A

heavily glycosylated proteins, carb>protein

aggrecan

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6
Q

what are glycosaminoglycans GAGs ?

A

long unbranched polysaccharides, highly polar attract water

hyaluronic acid

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7
Q

why is synovial fluid important ?

A

transports nutrients and removes waste form cartilage as it is avascular and alymphatic

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8
Q

how is synovial fluid produces ?

A

synoviocytes in the synovium produce it
rich capillary network with no epithelial lining
direct exchange of O2, CO2 and metabolites between blood and synovial fluid

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9
Q

what are the different types of synoviocytes ?

A

type A - like macrophages, remove debris, contribute to fluid production
type B - fibroblast like, main producer of synovial fluid

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10
Q

what are key features of synovial fluid ?

A
viscous
hyaluronic acid and lubricin
fluid component from plasma
small volumes 0.5 in knee
rapid turnover - 2 hours
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11
Q

what is the function of synovial fluid ?

A

nutrition
removal of waste
lubrication

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12
Q

what changes are seen in ageing joints ?

A

increased synovial fluid viscosity - slower movements, reduced lubrication
decreased water content of cartilage - reduced shock absorption
less protection = increased risk of damage

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